MRS. ELLEN TERESE HOLM AGPCNP-BC
NPI 1942606413
Nurse Practitioner - Gerontology in Bettendorf, IA

Q: What is Ellen Holm's NPI number?

The NPI number for Ellen Holm is 1942606413. It was assigned to this individual provider in the NPPES registry on November 11, 2014.

Q: What is Ellen Holm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Holm was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2014PECOS EnrolledAccepts Medicare Assignment

3682 UTICA RIDGE RD UNIT A, BETTENDORF, IA 52722(563) 370-1853(563) 386-0965 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 9, 2023, Feb 11, 2021, Jan 16, 2017 (3 updates tracked since 2017).

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About Mrs. Ellen Terese Holm Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLEN TERESE HOLM AGPCNP-BC (NPI 1942606413) is an individual gerontology provider in Bettendorf, Iowa, licensed in Indiana (2014015805) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1942606413

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. ELLEN TERESE HOLMCredential: AGPCNP-BC

Location Address3682 UTICA RIDGE RD UNIT ABettendorf, IA 52722-1648

Mailing Address3682 Utica Ridge Rd Unit ABettendorf, IA 52722-1648 · (563) 391-1024 · Fax (563) 386-0965

Phone(563) 370-1853

Fax(563) 386-0965

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 11, 2014

Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1942606413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IN · 2014015805

3682 UTICA RIDGE RD UNIT A, Bettendorf, IA 52722

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ellen Terese Holm Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789906827

PECOS Enrollment IDI20170818000310

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

641 services332 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services23 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160080

Location1410 North 4th StreetClinton, IA 52732 · Clinton County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Jackson County Regional Health Center

Critical Access Hospitals · Maquoketa, IA

OwnershipGovernment - Local

CMS Certification Number161329

Location700 W Grove StMaquoketa, IA 52060 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Holm's NPI number?

The NPI number for Ellen Holm is 1942606413. It was assigned to this individual provider in the NPPES registry on November 11, 2014.

Where is Ellen Holm located?

Ellen Holm practices at 3682 Utica Ridge Rd Unit A, Bettendorf, IA 52722. The listed phone number is (563) 370-1853.

What is Ellen Holm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ellen Holm enrolled in Medicare?

Yes. Ellen Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ellen Holm affiliated with any hospitals?

According to CMS data, Ellen Holm is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini, Genesis Medical Center-Davenport, Mercyone Clinton Medical Center, Genesis Medical Center-Dewitt and Jackson County Regional Health Center.

When was this NPI record last updated?

The NPPES record for Ellen Holm was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.